Franklin County, North Carolina · Nursing home
Louisburg Healthcare & Rehabilitation Center
1 of 5 overall from CMS
202 Smoketree Way, Louisburg, NC 27549
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.16 hours Below the state average of 3.85
- Nursing staff who left in a year 51.3% Above the state average of 49.0%
- Health citations, last 3 inspection cycles 27 2 at the harm level or above
- Fines in 3 years $133,854 1 fine
- Certified beds in use 91.7% of 92 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Louisburg Healthcare & Rehabilitation Center is a 92-bed nursing home in Louisburg, North Carolina (Franklin County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.16 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists 1 fine totaling $133,854 in the past three years.
- Certified beds
- 92
- Residents per day (average)
- 84.4
- Certified since
- 1991 (35 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Liberty Senior Living (37 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Louisburg Healthcare & Rehabilitation Center
Chosen from this home's public data.
- CMS lists 1 fine totaling $133,854 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 51.3%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.64 hours per resident on weekends against 3.16 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 North Carolina average 2.9
- Health inspections 2 of 5 North Carolina average 2.9
- Staffing 1 of 5 North Carolina average 2.7
- Quality measures 4 of 5 North Carolina average 3.3
The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.16 h North Carolina average 3.85
- Nurse aides 1.92 h North Carolina average 2.34
- Licensed practical nurses 0.90 h North Carolina average 0.89
- Registered nurses 0.35 h North Carolina average 0.62
- All staff, weekends 2.64 h North Carolina average 3.42
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover51.3%
- North Carolina average49.0%
- Registered nurse turnover62.5%
- North Carolina average45.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 9.8% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.6% | 7.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 4.8% | 5.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% | 92.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.5% | 18.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.6% | 21.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% | 94.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.2% | 5.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.5% | 14.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.78 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% | 80.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.8% | 78.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.0% | 22.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 27 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level; the rest were graded as no actual harm. 11 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 10, 2024: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 3, 2026 | 4 | 3 |
| Mar 6, 2025 | 7 | 4 |
| Mar 6, 2024 | 16 | 3 |
North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (27)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Jun 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 23, 2026)
-
BPotential for minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · No revisit needed (Jun 23, 2026)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Mar 27, 2025)
Show 22 more
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Mar 27, 2025)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Mar 27, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate foot care.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 27, 2025)
-
DPotential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 27, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 27, 2025)
-
BPotential for minimal harm, pattern
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights · Deficient, Provider has plan of correction (Mar 27, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 17, 2024)
-
KImmediate jeopardy, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Aug 28, 2024)
-
EPotential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2024)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 23, 2024)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 23, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2024)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2024)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2024)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Mar 23, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Apr 11, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 28, 2023)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Oct 28, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 28, 2023)
-
BPotential for minimal harm, pattern
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Oct 28, 2023)
-
JImmediate jeopardy, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 5, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jul 10, 2024 | Fine | $133,854 |
| Jul 10, 2024 | Payment Denial | 40 days |
North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Carolina
- Size274 of 419 by certified beds
- North Carolina average residents per day86.9
- ChainLiberty Senior Living
- Chain average overall rating2.8 of 5
- Resident or family councilResident
- Homes in Franklin County2
Common questions
What is the CMS star rating for Louisburg Healthcare & Rehabilitation Center?
Louisburg Healthcare & Rehabilitation Center has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 4.
How many beds does Louisburg Healthcare & Rehabilitation Center have?
Louisburg Healthcare & Rehabilitation Center has 92 certified beds. It averages 84.4 residents per day, about 91.7% of its certified beds.
How much nursing care do residents get at Louisburg Healthcare & Rehabilitation Center?
The home reports 3.16 hours of nurse staffing per resident per day, including 0.35 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.
Has Louisburg Healthcare & Rehabilitation Center been fined?
Yes. CMS lists 1 fine totaling $133,854 in the past three years. It also lists 1 payment denial.
Does Louisburg Healthcare & Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Franklin Oaks Nursing and Rehabilitation Center 166beds 87.2%in use 3.39nurse hours a day
- 5 of 5 Hillside Nursing Center of Wake Forest 130beds 88.3%in use 3.81nurse hours a day
- 4 of 5 Kerr Lake Nursing and Rehabilitation Center 92beds 75.4%in use 4.55nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Franklin County
Who to call in North Carolina
These offices serve residents of every nursing home in North Carolina.
- Long-term care ombudsman North Carolina Long-Term Care Ombudsman Program 919-855-3400 (Office of the State Long-Term Care Ombudsman, Raleigh. Regional ombudsmen (16 offices in Area Agencies on Aging) are listed by county in a document linked from the program page.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 1-800-624-3004 (Within N.C.; or 919-855-4500. Hours: 9 a.m.-12 p.m. and 1-4 p.m. weekdays, except holidays. Also by fax (919-715-7724), mail (Complaint Intake Unit, 2711 Mail Service Center, Raleigh, NC 27699-2711) or email; a printable complaint form is on the page.) The state agency that inspects nursing homes.
North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345358. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.